National Provider Identifier [NPI]: |
1497859433 |
Last Name Of The Provider |
GREENBERG |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2299 POST ST |
Street Address 2 Of The Provider |
STE 205 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941153441 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3715 |
Number Of Medicare Beneficiaries |
711 |
Total Submitted Charge Amount |
575365 |
Total Medicare Allowed Amount |
338282.48 |
Total Medicare Payment Amount |
274352.24 |
Total Medicare Standardized Payment Amount |
240738.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
268 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
11330 |
Total Drug Medicare AllowedAmount |
4212.73 |
Total Drug Medicare PaymentAmount |
4119.13 |
Total Drug Medicare Standardized Payment Amount |
4119.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3447 |
Number Of Medicare Beneficiaries With Medical Services |
711 |
Total Medical Submitted Charge Amount |
564035 |
Total Medical Medicare Allowed Amount |
334069.75 |
Total Medical Medicare Payment Amount |
270233.11 |
Total Medical Medicare Standardized Payment Amount |
236619.2 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
399 |
Number Of Male Beneficiaries |
312 |
Number Of Non Hispanic White Beneficiaries |
657 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
74 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
637 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3497 |